Individual
MS. JUDITH R. ECLARINAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5013
Mailing address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5013
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200440577RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200440577RN
STATE LICENSE
OR
Enumeration date
07/06/2011
Last updated
07/26/2011
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